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UNITED HEALTHCARE v. FIRST STREET HOSP.

No. 01-17-00237-CV.

570 S.W.3d 323 (2018)

UNITED HEALTHCARE SERVICES, INC., United Healthcare Insurance Company, United Healthcare Benefits of Texas, Inc., and United Healthcare of Texas, Inc., Appellants v. FIRST STREET HOSPITAL LP, First Surgical Partners, LLC, First Surgical Partners Holding Inc., Jacob Varon, M.D., St Michael's Emergency Center, LLC, the Woodlands FEC, LLC, Brian Orsak, Shannon Orsak, Diane Crumley, Vital Weight Control, Inc., Harris County Title Search, Inc., Emergency Healthcare Partners LP d/b/a Memorial Heights Emergency Center, and Anthony Rotondo, Appellees.

Court of Appeals of Texas, Houston (1st Dist.).

Opinion issued November 29, 2018.

Attorney(s) appearing for the Case

John B. Shely , Laura Trenaman , Cameron P. Pope , Brian Pidcock , Kelsey, J. Hope , Andrews Kurth Kenyon LLP, 600 Travis St., Ste 4200, Houston, TX, for Appellants.

Andrew S. Hicks , Logan E. Johnson , Penelope E. Nicholson , Persis Dean , Schiffer Odoin Hicks & Johnson PLLC, 700 Louisiana St., Ste 2650, Houston, TX 77002, Larry R. Veselka , Jarod R. Stewart , Michelle S. Stratton , Smyser Kaplan & Veselka, L.L.P., 700 Louisiana St., Ste 2300, Houston, TX 77002, Richard P. Hogan, Jr. , Jennifer Bruch Hogan , James C. Marrow , Hogan & Hogan, 711 Louisiana St., Ste 500, Houston, TX 77002, Brent Carpenter , 322 Brooks Street, Sugar Land, TX 77478, Christry L. Martin , Simon, W. Hendershot, III , Katie T. Cowart , Hendershot, Cannon, Martin & Hisey, P.C., 1800 Bering Drive, Ste 600, Houston, TX 77057, Robert A. Plessala , Anderws Myers, P.C., 3900 Essex Lane, Ste 800, Houston, TX 77027, Matthew J. Mussalli , 2441 High Timbers Drive, Ste 220, The Woodlands, TX 77380, for Appellees.

Panel consists of Chief Justice Radack and Justices Massengale and Brown.

OPINION

Historically, when a patient sought a medical evaluation, the patient could have expected to be billed a physician's fee in addition to the cost of any tests, treatments, and medicines provided during the medical visit. And when the medical evaluation was provided by a physician in a hospital's emergency...

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